WGU D439 TEST PAPER FINAL PAPER FULL
SOLUTION 2026 GRADED A+.
⫸ ADPIE - Assessment. Answer: "Collect subjective & objective
data: history, vitals, labs, physical assessment."
⫸ ADPIE - Diagnosis. Answer: Cluster data; NANDA format:
Problem related to cause as evidenced by signs/symptoms.
⫸ ADPIE - Planning. Answer: "SMART goals; prioritize ABCs,
safety, Maslow; choose interventions."
⫸ ADPIE - Implementation. Answer: Carry out interventions;
delegate safely; document care.
⫸ ADPIE - Evaluation. Answer: "Compare outcomes to goals, revise
plan based on response."
⫸ SBAR. Answer: "Situation, Background, Assessment,
Recommendation - concise handoff."
⫸ HIPAA. Answer: Protect PHI; minimal necessary disclosure;
secure documentation.
, ⫸ Late Entry. Answer: Label 'Late entry' with date/time and reason;
factual and timely documentation.
⫸ Therapeutic communication. Answer: "Open questions, reflection,
silence, empathy, active listening."
⫸ Empathy vs Sympathy. Answer: Empathy: understand feelings;
Sympathy: feel for them - less therapeutic.
⫸ Good Samaritan Act. Answer: Legal protection for good-faith
emergency aid (varies by state).
⫸ Assault. Answer: "Threat/attempt to cause harm; e.g., threatening
an injection."
⫸ Battery. Answer: "Unauthorized physical contact; e.g., giving
injection without consent."
⫸ Pain assessment - Adults. Answer: OLDCARTS + 0-10 scale;
reassess after intervention.
⫸ Pain - Children. Answer: Use Faces or FLACC for nonverbal
assessment.
⫸ Pain - Comatose. Answer: "Observe behavior, vitals; use
behavioral tools (e.g., CPOT)."
SOLUTION 2026 GRADED A+.
⫸ ADPIE - Assessment. Answer: "Collect subjective & objective
data: history, vitals, labs, physical assessment."
⫸ ADPIE - Diagnosis. Answer: Cluster data; NANDA format:
Problem related to cause as evidenced by signs/symptoms.
⫸ ADPIE - Planning. Answer: "SMART goals; prioritize ABCs,
safety, Maslow; choose interventions."
⫸ ADPIE - Implementation. Answer: Carry out interventions;
delegate safely; document care.
⫸ ADPIE - Evaluation. Answer: "Compare outcomes to goals, revise
plan based on response."
⫸ SBAR. Answer: "Situation, Background, Assessment,
Recommendation - concise handoff."
⫸ HIPAA. Answer: Protect PHI; minimal necessary disclosure;
secure documentation.
, ⫸ Late Entry. Answer: Label 'Late entry' with date/time and reason;
factual and timely documentation.
⫸ Therapeutic communication. Answer: "Open questions, reflection,
silence, empathy, active listening."
⫸ Empathy vs Sympathy. Answer: Empathy: understand feelings;
Sympathy: feel for them - less therapeutic.
⫸ Good Samaritan Act. Answer: Legal protection for good-faith
emergency aid (varies by state).
⫸ Assault. Answer: "Threat/attempt to cause harm; e.g., threatening
an injection."
⫸ Battery. Answer: "Unauthorized physical contact; e.g., giving
injection without consent."
⫸ Pain assessment - Adults. Answer: OLDCARTS + 0-10 scale;
reassess after intervention.
⫸ Pain - Children. Answer: Use Faces or FLACC for nonverbal
assessment.
⫸ Pain - Comatose. Answer: "Observe behavior, vitals; use
behavioral tools (e.g., CPOT)."
